Provider Demographics
NPI:1043499684
Name:COMFORT HOSPICE OF TEXAS, LLC
Entity Type:Organization
Organization Name:COMFORT HOSPICE OF TEXAS, LLC
Other - Org Name:HARMONYCARES HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-824-6000
Mailing Address - Street 1:500 KIRTS BLVD
Mailing Address - Street 2:ATTN: CREDENTIALING DEPARTMENT
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4134
Mailing Address - Country:US
Mailing Address - Phone:248-824-6000
Mailing Address - Fax:855-618-6655
Practice Address - Street 1:4545 FULLER DR
Practice Address - Street 2:STE 330
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6557
Practice Address - Country:US
Practice Address - Phone:972-871-0100
Practice Address - Fax:972-871-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001019508Medicaid
TX013951OtherSTATE HOSPICE LICENSE